Georgia Rackley, MSN, RN, CPC, CLNC
Senior Clinical Specialist

Georgia has over 40 years of operational, clinical, coding, and regulatory experience with both healthcare providers and payers.

AREAS OF SPECIALIZATION

  • Healthcare compliance 

  • Hospital coding and billing issues 

  • Part B billing and coding 

  • Physician, coding & billing staff education on documentation, coding and regulatory issues 

  • Litigation support 

  • Behavioral Healthcare 

EXPERIENCE

Performs inpatient and outpatient documentation, coding, billing and payment audits for compliance and recovery projects across multiple clinical areas to include: 

  • Primary Care 

  • Emergency Services 

  • Critical Care and Trauma Services 

  • Urgent Care 

  • Anesthesia 

  • Inpatient and outpatient physical rehabilitation 

  • Hospice and Home Health 

  • Urology 

  • Medical and Radiation Oncology 

  • IL-372 PATH audits 

  • Behavioral Healthcare; inpatient, outpatient, residential treatment and community based services 

  • Voluntary disclosures for government & private insurers 

Provision of educational programs for professional organizations and practitioners, across all medical specialties, covering a range of documentation, coding and regulatory topics. 

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EDUCATION

Masters in Nursing; Child and Family Psychiatric and Mental Health Specialty
University of Pennsylvania, Philadelphia, PA

Bachelor of Science, Nursing
Georgetown University, Washington, DC